Solis, Lori Suzanne

Solis, Lori Suzanne is an sole proprietor health care provider with primary practice located at 1100 Ted A Crozier Sr Blvd Suite C, Clarksville TN 37043-8912. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Solis, Lori Suzanne can be contacted via phone (931) 919-3361.

Contact Information

Primary practice address
1100 Ted A Crozier Sr Blvd Suite C Clarksville TN 37043-8912
Phone: (931) 919-3361
Fax: (931) 919-3362
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0000129156 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0000008121 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3008447 Kentucky

Profile Details

NPI number 1396839429
LBN Legal business name Solis, Lori Suzanne
Credentials DNP, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Oct 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396839429 NPPES
Kentucky MEDICAID 30602015
Kentucky Other K115570
Kentucky MEDICAID Q001572
Kentucky Other 103I504505
Kentucky Other 3008447
Kentucky Other 8121

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